REPUBLIC OF THE PHILIPPINES )

CITY OF _____ ) S.S.

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ABC DEF, of legal age, single, Filipino, with residence at 123 ABC St., Sta.
Mesa, Manila do hereby NAME, APPOINT, and CONSTITUTE Atty. ATTOR NEY,
likewise of legal age, single, with residence at 345 DEF St., Sta. Mesa, Manila, as my
true and legal representative to act for and in my name and stead and to represent me
during the hearing of Civil Case No. 12345, to enter into amicable settlement, to submit
to alternative modes of dispute resolution and to make admissions or stipulations of facts
and documents without further consultation from me.

I hereby grant my representative full power and authority to execute and

perform every act necessary to render effective the power to compromise as though I
myself have so performed it and hereby approving all that he may do by virtue of these
presents.

This Special Power of Attorney remains effective until _____.

IN WITNESS WHEREOF, I have hereunto set my hand this 1st day of May,
2018, in ____ City, Philippines.

ABC DEF
Principal

Conforme:

Atty. ATTOR NEY

Agent

SIGNED IN THE PRESENCE OF:

WITNESS WITNESS

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

CITY OF ) S.S.

BEFORE ME, this __ day of ____, 2018, in the City of ____, personally appeared:

Name Competent Evidence of Identity Place/Date of

Issue
______ _____ ______
______ _____ ______

known to me to be the same persons who executed the foregoing instrument, and
acknowledged that the same are their free act and deed.

1
 This instrument, consisting of ___ pages including the page on which this
acknowledgment is written, has been signed on the left margin of each and every page
thereof by the parties and their witnesses, and sealed with my notarial seal.

Date, Place.

NOTARY PUBLIC
Commission Serial No.
Commission Expires On __
Address/Phone/Email
Roll/IBP/PTR/MCLE

Doc. ______
Page ______
Book ______
Series of ___